Melville, Joel Bennett

Melville, Joel Bennett is an individual health care provider with primary practice located at 16 Hayden Ave , Lexington MA 02421-7929. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Melville, Joel Bennett can be contacted via phone (781) 744-7060.

Contact Information

Primary practice address
16 Hayden Ave Lexington MA 02421-7929
Phone: (781) 744-7060
Fax: (781) 744-7069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 18732 Massachusetts

Profile Details

NPI number 1437380839
LBN Legal business name Melville, Joel Bennett
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2009
Last updated Nov 30th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437380839 NPPES
Massachusetts MEDICAID 110083104A

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